Effectiveness of different styles of massage therapy in fibromyalgia: A systematic review and meta-analysis

Yuan, Susan Lee King; Matsutani, Luciana Akemi; Marques, Amélia Pasqual

doi:10.1016/j.math.2014.09.003

Cited by 97 publications

(58 citation statements)

References 25 publications

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“…Fibromyalgia is another common chronic pain condition for which patients often seek massage for pain relief. Two recent reviews (27,28) both found beneficial effects on fibromyalgia pain with massage therapy. Several reviews have evaluated massage for a number of musculoskeletal problems, including low back pain (29)(30)(31) and neck and shoulder pain.…”

Section: Possible Mechanism Of Actionmentioning

confidence: 99%

Complementary and alternative medicine therapies for chronic pain

Bauer

Tilburt

Sood

et al. 2016

Chin. J. Integr. Med.

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Pain afflflicts over 50 million people in the US, with 30.7% US adults suffering with chronic pain. Despite advances in therapies, many patients will continue to deal with ongoing symptoms that are not fully addressed by the best conventional medicine has to offer them. The patients frequently turn to therapies outside the usual purview of conventional medicine (herbs, acupuncture, meditation, etc.) called complementary and alternative medicine (CAM). Academic and governmental groups are also starting to incorporate CAM recommendations into chronic pain management strategies. Thus, for any physician who care for patients with chronic pain, having some familiarity with these therapies-including risks and benefits-will be key to helping guide patients in making evidence-based, well informed decisions about whether or not to use such therapies. On the other hand, if a CAM therapy has evidence of both safety and efficacy then not making it available to a patient who is suffering does not meet the need of the patient. We summarize the current evidence of a wide variety of CAM modalities that have potential for helping patients with chronic pain in this article. The triad of chronic pain symptoms, ready access to information on the internet, and growing patient empowerment suggest that CAM therapies will remain a consistent part of the healthcare of patients dealing with chronic pain.

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Section: Possible Mechanism Of Actionmentioning

confidence: 99%

Complementary and alternative medicine therapies for chronic pain

Bauer

Tilburt

Sood

et al. 2016

Chin. J. Integr. Med.

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show abstract

“…A recent meta-analysis has concluded that soft tissue interventions such as myofascial release or connective tissue massage had moderate-to-large positive effects on pain, anxiety, depression and function in women with FMS [67]. The results from this meta-analysis [67] support a role of soft tissues in FMS pain; however, no mention to TrPs is found in this meta-analysis.…”

Section: Trigger Points and Fibromyalgia: Treatment Studiesmentioning

confidence: 53%

Myofascial Pain and Fibromyalgia: Two Different but Overlapping Disorders

Fernández‐de‐las‐Peñas

Arendt-Nielsen

2016

Pain Manag.

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There is good evidence supporting that people with fibromyalgia syndrome (FMS) exhibit central sensitization. The role of peripheral nociception is under debate in FMS. It seems that widespread pain experienced in FMS is considered multiple regional pains; therefore, several authors proposed that muscles play a relevant role in FMS. Trigger points (TrPs) have long been a contentious issue in relation to FMS. Preliminary evidence reported that the overall spontaneous pain is reproduced by referred pain from active TrPs, suggesting that FMS pain is largely composed of pain arising, at least partially, from TrPs. Finally, there is preliminary evidence suggesting that management of TrPs is able to modulate the CNS and is effective for reducing pain in FMS, although results are conflicting and future studies are clearly needed.

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“…For example, a systematic review and meta-analysis of Randomized Clinical Trials (RCTs) by Li, Yuan et al, show that MT with duration ≥ 5 weeks shows improvement in pain, anxiety and depression in FM patients [35,36]. MT also seems to lead to positive effects on physical symptoms in CFS/ME, including depression, fatigue, pain and insomnia [37][38][39], suggesting that MT could be used for therapeutic purposes by itself or in combination with current symptomatic pharmacology as part of integrative medicine programs.…”

Section: Introductionmentioning

confidence: 99%

Unraveling molecular determinants of manual therapy: an approach to integrative therapeutics for the treatment of fibromyalgia and CFS/ME

Espejo¹,

García-Escudero²,

Oltra³

2018

Preprint

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Abstract:Application of protocols without parameter standardization and rigorous controls has led manual therapy (MT) and other physiotherapy approaches to controversial outcomes. Thus, there is an urgency to carefully define standard protocols that elevate physiotherapy treatments to rigorous scientific demands. One way this can be achieved is by studying gene expression and additional physiological changes that associate to particular, parameter-controlled, treatments in animal models and translating this knowledge to properly design objective, quantitatively-monitored clinical trials. Here, we propose a Molecular Physiotherapy Approach (MPTA), requiring multidisciplinary teams, to uncover the scientific reasons behind the numerous reports of MT that historically attribute benefits to these treatments. The review focuses in the identification of MT-induced physiological and molecular responses that could be used for the treatment of fibromyalgia (FM) and CFS/ME. The systemic effect associated to mechanical-load responses is considered of particular relevance as it suggests that defined, low-pain areas could be selected for treatments with overall benefits, an aspect that might result essential to treat FM. Additionally, MT can provide muscle conditioning to sedentary patients without demanding strenuous physical effort, detrimental for CFS/ME patients, placing MT as a real option for integrative medicine programs to treat FM and CFS/ME.

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Effectiveness of different styles of massage therapy in fibromyalgia: A systematic review and meta-analysis

Cited by 97 publications

References 25 publications

Complementary and alternative medicine therapies for chronic pain

Complementary and alternative medicine therapies for chronic pain

Myofascial Pain and Fibromyalgia: Two Different but Overlapping Disorders

Unraveling molecular determinants of manual therapy: an approach to integrative therapeutics for the treatment of fibromyalgia and CFS/ME

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